ADESA AUCTIONS CANADA CORPORATION ADESA MONTREAL CORPORATION ADESA QUEBEC CORPORATION On Behalf of their Subsidiaries and Affiliates

Size: px
Start display at page:

Download "ADESA AUCTIONS CANADA CORPORATION ADESA MONTREAL CORPORATION ADESA QUEBEC CORPORATION On Behalf of their Subsidiaries and Affiliates"

Transcription

1 ADESA AUCTIONS CANADA CORPORATION ADESA MONTREAL CORPORATION ADESA QUEBEC CORPORATION On Behalf of their Subsidiaries and Affiliates POWER OF ATTORNEY BRITISH COLUMBIA- AUCTION TO: ADESA Auctions Canada Corporation ( AACC operating as: ADESA Vancouver 7111 No 8 Road, Richmond, British Columbia, V6W 1L9 ADESA Public Auto Auctions Vancouver CAG Vancouver King George Highway, Surrey, British Columbia, V3V 3K King George Highway, Surrey, British Columbia, V3V 3K5 FROM: ("Customer" ADDRESS: DATE: 1 For value received, the Customer hereby appoints AACC to be its attorney in respect of all matters pertaining to the registration, licensing and sale of vehicles owned by Customer including, without limitation, to: (i (ii sign, give, receive and hold, on behalf of the Customer, all Sales Agreements, Vehicle Transfers and Vehicle Registrations (in the form used by the Auction or applicable regulatory authority as amended or revised from time to time; and take all steps, do all things and execute all documents and receipts as the Auction considers necessary, incidental, desirable or expedient in respect of its role as the Customer s attorney for any Vehicle purchased or sold by the Customer through the Auction. 1 of 5

2 2 AACC, the Buyer and the Seller, as the case may be, are authorized and directed to rely upon this Power of Attorney. This Power of Attorney may be exercised during any subsequent legal incapacity of the Customer. This Power of Attorney will remain binding on the Customer until written notice of its revocation is actually received by the Auction. DATED AT THE MUNICIPALITY OF, IN THE PROVINCE OF, THIS DAY OF, 20. SIGNED, SEALED AND DELIVERED in the presence of: WITNESS #1 [INSERT CUSTOMER S LEGAL NAME HERE] Witness Signature Print Witness Name Name: Title: WITNESS # 2 Witness Signature Print Witness Name If the Customer is an individual the following certificate must be completed by a Notary Public. 2 of 5

3 Certificate of Notary Public I HEREBY CERTIFY THAT: 1. of in the Province of British Columbia, the Customer named in the Power of Attorney dated naming AACC as his/her attorney, which this certificate is noted on, appeared in person before me and acknowledged that he had executed the Power of Attorney; 2. I satisfied myself by examination of him/her that he/she is aware of the contents of the power of attorney and understands it. GIVEN at this day of, 20 under my hand and seal of my office. (SEAL A Notary Public in and for STATEMENT OF CUSTOMER I am the person named in this Certificate. Signature of Customer 3 of 5

4 ADESA AUCTIONS CANADA CORPORATION ADESA MONTREAL CORPORATION ADESA QUEBEC CORPORATION On Behalf of their Subsidiaries and Affiliates POWER OF ATTORNEY BRITISH COLUMBIA - BROKER TO: ADDRESS: FROM: ADDRESS: ( Broker ("Customer" DATE: 1 For value received, the Customer hereby appoints the Broker to be its attorney in respect of all matters pertaining to vehicle registration/licensing/insurance and/or transfer purposes only, for all vehicles owned by the Customer. 2 The Broker is authorized and directed to rely upon this Power of Attorney. This Power of Attorney may be exercised during any subsequent legal incapacity of the Customer. This Power of Attorney will remain binding on the Customer until written notice of its revocation is actually received by the Broker. DATED AT THE MUNICIPALITY OF, IN THE PROVINCE OF BRITISH COLUMBIA, THIS DAY OF, 20. SIGNED, SEALED AND DELIVERED in the presence of: WITNESS #1 Witness Signature Print Witness Name [INSERT CUSTOMER S LEGAL NAME HERE] Name: Title: 4 of 5

5 WITNESS # 2 Witness Signature Print Witness Name If the Customer is an individual the following certificate must be completed by a Notary Public. Certificate of Notary Public I HEREBY CERTIFY THAT: 1. of in the Province of British Columbia, the Customer named in the Power of Attorney dated naming as his attorney, which this certificate is noted on, appeared in person before me and acknowledged that he had executed the Power of Attorney; 2. I satisfied myself by examination of him that he is aware of the contents of the power of attorney and understands it. GIVEN at this day of, 20 under my hand and seal of my office. (SEAL A Notary Public in and for STATEMENT OF CUSTOMER I am the person named in this Certificate. Signature of Customer 5 of 5

New York Public Employee Retirement System Special Durable Power of Attorney (Rev. 6/18)

New York Public Employee Retirement System Special Durable Power of Attorney (Rev. 6/18) Office of the New York State Comptroller 110 State Street, Albany, New York 12244-0001 Received New York Public Employee Retirement System Special Durable Power of Attorney (Rev. 6/18) This is a Public

More information

GUARANTEE OF RESIDENTIAL MORTGAGE

GUARANTEE OF RESIDENTIAL MORTGAGE GUARANTEE OF RESIDENTIAL MORTGAGE TERMS YOU NEED TO KNOW In this document, the following terms are used with particular meanings: (a) (b) (c) (d) (e) (f) Borrower means, the person(s) we loaned money to

More information

For Merrill Lynch Only

For Merrill Lynch Only For Merrill Lynch Only This page is for Merrill Lynch use only and should not be included when registering your Power of Attorney with the register of deeds. Client Name: Agent Name: Account Number(s):

More information

see schedule 3. ENCUMBRANCES, LIENS AND INTERESTS The within document is subject to instrument number(s)

see schedule 3. ENCUMBRANCES, LIENS AND INTERESTS The within document is subject to instrument number(s) MORTGAGE Form 6.1 X Mortgage Encumbrance Mortgage of Mortgage/Encumbrance 1. MORTGAGOR(S)/GRANTOR(S) OF ENCUMBRANCE (Encumbrancee(s)) 2. LAND DESCRIPTION TITLE NO.(S) MORTGAGE/ENCUMBRANCE NO.(S) 3. ENCUMBRANCES,

More information

PROVINCE OF ALBERTA MORTGAGE

PROVINCE OF ALBERTA MORTGAGE Province of Alberta Land Titles Act R.S.A Sec. 113(2 PROVINCE OF ALBERTA MORTGAGE MORTGAGE 1. The parties to the Mortgage are: (a Borrower: (b Lender: HSBC BANK CANADA (c The address and postal code of

More information

(Please print): Middle

(Please print): Middle Public Employees Retirement System of Nevada 693 W. Nye Lane, Carson City, NV 89703 (775) 687-4200 - Fax (775) 687-5131 5820 S. Eastern Ave., Suite 220, Las Vegas, NV 89119 (702) 486-3900 - Fax (702) 678-6934

More information

see schedule 3. ENCUMBRANCES, LIENS AND INTERESTS The within document is subject to instrument number(s)

see schedule 3. ENCUMBRANCES, LIENS AND INTERESTS The within document is subject to instrument number(s) MORTGAGE Form 6.1 X Mortgage Encumbrance Mortgage of Mortgage/Encumbrance 1. MORTGAGOR(S)/GRANTOR(S) OF ENCUMBRANCE (Encumbrancee(s)) 2. LAND DESCRIPTION TITLE NO.(S) MORTGAGE/ENCUMBRANCE NO.(S) 3. ENCUMBRANCES,

More information

NOTICE: Comments shall be filed, in writing, with the Mid-Ohio Valley Technical Institute, 2134 North Pleasants Highway, St.

NOTICE: Comments shall be filed, in writing, with the Mid-Ohio Valley Technical Institute, 2134 North Pleasants Highway, St. ESTABLISHMENT 1 of 5 MOVTI/Administrative Council adheres to the policies and provisions as maintained by the Pleasants County Board of Education in regard to the Leave Donation Program Policy. The Administrative

More information

Legal Practitioners Liability Committee ENDURING POWERS OF ATTORNEY: WITNESSING AND CERTIFICATION ISSUES

Legal Practitioners Liability Committee ENDURING POWERS OF ATTORNEY: WITNESSING AND CERTIFICATION ISSUES Legal Practitioners Liability Committee ENDURING POWERS OF ATTORNEY: WITNESSING AND CERTIFICATION ISSUES Introduction The Instruments (Enduring Powers of Attorney) Act 2003 inserted Part XIA relating to

More information

ACCREDITED INVESTOR PACKAGE

ACCREDITED INVESTOR PACKAGE TO: ACCREDITED INVESTOR PACKAGE FIELDHOUSE PRO FUNDS INC. (THE ISSUER ) In addition to the covenants, representations and warranties contained in the subscription agreement to which this Accredited Investor

More information

THE CORPORATION OF THE DISTRICT OF PEACHLAND BYLAW NUMBER A Bylaw to Provide for a Revitalization Tax Exemption

THE CORPORATION OF THE DISTRICT OF PEACHLAND BYLAW NUMBER A Bylaw to Provide for a Revitalization Tax Exemption THE CORPORATION OF THE DISTRICT OF PEACHLAND BYLAW NUMBER 2035 A Bylaw to Provide for a Revitalization Tax Exemption This is a consolidated bylaw prepared by the Corporation of the District of Peachland

More information

SUBSCRIPTION AGREEMENT. THIS SUBSCRIPTION AGREEMENT is dated this day of, 20

SUBSCRIPTION AGREEMENT. THIS SUBSCRIPTION AGREEMENT is dated this day of, 20 SUBSCRIPTION AGREEMENT THIS SUBSCRIPTION AGREEMENT is dated this day of, 20 BETWEEN: ANTRIM BALANCED MORTGAGE FUND LTD., a mortgage investment corporation having an office at 9089 Glover Road Box 520 Fort

More information

see schedule 3. ENCUMBRANCES, LIENS AND INTERESTS The within document is subject to instrument number(s)

see schedule 3. ENCUMBRANCES, LIENS AND INTERESTS The within document is subject to instrument number(s) MORTGAGE Form 6.1 X Mortgage Encumbrance Mortgage of Mortgage/Encumbrance 1. MORTGAGOR(S)/GRANTOR(S) OF ENCUMBRANCE (Encumbrancee(s)) 2. LAND DESCRIPTION TITLE NO.(S) MORTGAGE/ENCUMBRANCE NO.(S) 3. ENCUMBRANCES,

More information

TURNSTAR HOLDINGS LIMITED (Incorporated in the Republic of Botswana on 07/11/2000) (Company number: 2000/5302) ( Turnstar or the Company )

TURNSTAR HOLDINGS LIMITED (Incorporated in the Republic of Botswana on 07/11/2000) (Company number: 2000/5302) ( Turnstar or the Company ) Notice of Annual General Meeting TURNSTAR HOLDINGS LIMITED (Incorporated in the Republic of Botswana on 07/11/2000) (Company number: 2000/5302) ( Turnstar or the Company ) NOTICE OF THE 2016 ANNUAL GENERAL

More information

Vermont EFT Enrollment Form Electronic Funds Transfer of VT Income Tax Withheld (ACH Credit Only)

Vermont EFT Enrollment Form Electronic Funds Transfer of VT Income Tax Withheld (ACH Credit Only) VERMONT DEPARTMENT OF TAXES MONTPELIER, VT 05609-1401 Vermont EFT Enrollment Form Electronic Funds Transfer of VT Income Tax Withheld (ACH Credit Only) A. Taxpayer Information Name: VT Account Number Address:

More information

PROCESS FOR TRANSFER OF SHARES. Following documents are required to be submitted to us for transfer of shares:

PROCESS FOR TRANSFER OF SHARES. Following documents are required to be submitted to us for transfer of shares: PROCESS FOR TRANSFER OF SHARES Following documents are required to be submitted to us for transfer of shares: 1. Share Transfer Form SH-4 as per below format (with stamp affixed i.e. 0.25% of present market

More information

DESIGNATION OF BENEFICIARY FORM FOR PRE-RETIREMENT DEATH BENEFITS ONLY

DESIGNATION OF BENEFICIARY FORM FOR PRE-RETIREMENT DEATH BENEFITS ONLY DESIGNATION OF BENEFICIARY FORM FOR PRE-RETIREMENT DEATH BENEFITS ONLY Please read these instructions before completing the form. Use this form to designate or change a beneficiary only for Pre-Retirement

More information

Transfer on Death Agreement

Transfer on Death Agreement Transfer on Death Agreement Please use this form to designate individual(s) or trust(s) that you would like to receive assets in your Merrill Edge brokerage account upon your death without going through

More information

Marathon Mortgage Corp. Fixed Rate Mortgage Schedule

Marathon Mortgage Corp. Fixed Rate Mortgage Schedule Marathon Mortgage Corp. Fixed Rate Mortgage Schedule In consideration of the granting of the loan secured by this Mortgage and of its conditions the Borrower agrees with the Lender as follows: The provisions

More information

YOUNG WOMEN S CHRISTIAN ASSOCIATION (the Trustee ) 1.1 Name of Trust. The Trust created by this Indenture shall be known as XXXX.

YOUNG WOMEN S CHRISTIAN ASSOCIATION (the Trustee ) 1.1 Name of Trust. The Trust created by this Indenture shall be known as XXXX. THIS TRUST INDENTURE made the day of, 20XX, BETWEEN: AND: XXXX (the Settlor YOUNG WOMEN S CHRISTIAN ASSOCIATION (the Trustee WHEREAS: A. Pursuant to an agreement between the Settlor and the Trustee certain

More information

NEW FEDERAL PENSION REGULATIONS RELEASED FOR COMMENT

NEW FEDERAL PENSION REGULATIONS RELEASED FOR COMMENT 30 September 2014 NEW FEDERAL PENSION REGULATIONS RELEASED FOR COMMENT On September 19, 2014 the federal Minister of State (Finance) released proposed regulations (Proposed Regulations) under the federal

More information

APPLICATION FOR REGISTRATION OF THE ESTABLISHMENT OF A BUSINESS OFFICE OF A FOREIGN COMPANY

APPLICATION FOR REGISTRATION OF THE ESTABLISHMENT OF A BUSINESS OFFICE OF A FOREIGN COMPANY (In the case of setting up a business office for the first time) JETRO Investing in Japan [Space for affixing receipt number slip] APPLICATION FOR REGISTRATION OF THE ESTABLISHMENT OF A BUSINESS OFFICE

More information

APPLICATION FOR BROKERAGE LICENCE Corporation or Partnership

APPLICATION FOR BROKERAGE LICENCE Corporation or Partnership Please complete all sections as indicated. Please print clearly. APPLICATION FOR BROKERAGE LICENCE Corporation or Partnership PART A APPLICANT INFORMATION Full legal name of corporation or partnership

More information

MORTGAGE OF LAND LAND TITLES ACT

MORTGAGE OF LAND LAND TITLES ACT Page 1 MORTGAGE OF LAND LAND TITLES ACT MORTGAGOR(S): Joint Tenants Tenants in Common (attach additional page(s) if space insufficient) RETAIL COLLATERAL MORTGAGE Fee Simple Title Leasehold Title Name:

More information

Regional District Security Issuing Bylaw. [Corporate Name of Regional District] Bylaw No.

Regional District Security Issuing Bylaw. [Corporate Name of Regional District] Bylaw No. Regional District Security Issuing Bylaw [Corporate Name of Regional District] Bylaw No. A bylaw to authorize the entering into of an Agreement respecting financing between the [Corporate Name of Regional

More information

POWER OF ATTORNEY NEW YORK STATUTORY GIFTS RIDER

POWER OF ATTORNEY NEW YORK STATUTORY GIFTS RIDER POWER OF ATTORNEY NEW YORK STATUTORY GIFTS RIDER AUTHORIZATION FOR CERTAIN GIFT TRANSACTIONS CAUTION TO THE PRINCIPAL: This OPTIONAL rider allows you to authorize your agent to make gifts in excess of

More information

MEDTRONIC PACEMAKER LEAD SETTLEMENT CLAIM FORM COMPLETE THIS FORM IF ALL OF THE FOLLOWING APPLY:

MEDTRONIC PACEMAKER LEAD SETTLEMENT CLAIM FORM COMPLETE THIS FORM IF ALL OF THE FOLLOWING APPLY: MEDTRONIC PACEMAKER LEAD SETTLEMENT CLAIM FORM COMPLETE THIS FORM IF ALL OF THE FOLLOWING APPLY: 1. You were implanted with pacemaker lead model numbers 4004, 4004M or 4012 manufactured by Medtronic Inc.

More information

LEGG MASON SINGAPORE OPPORTUNITIES TRUST (the Trust ), a sub-fund under LEGG MASON FUNDS

LEGG MASON SINGAPORE OPPORTUNITIES TRUST (the Trust ), a sub-fund under LEGG MASON FUNDS Legg Mason Asset Management Singapore Pte. Limited Registration Number (UEN): 200007942R 1 George Street, #23-02, Singapore 049145 leggmason.com.sg 14 September 2017 This document is important and requires

More information

1 ORIGINAL WILL 1 DUPLICATE WILL

1 ORIGINAL WILL 1 DUPLICATE WILL The Original MALAYSIAN LEGAL WILL KIT 1 ORIGINAL WILL 1 DUPLICATE WILL Both Wills to be identically filled in and executed in accordance with the instructions as stated in Pages 15 to 25 of this Instruction

More information

WITHDRAWAL OR TRANSFER FROM A FEDERALLY REGULATED LOCKED-IN PLAN BASED UPON FINANCIAL HARDSHIP PLANHOLDER INSTRUCTIONS

WITHDRAWAL OR TRANSFER FROM A FEDERALLY REGULATED LOCKED-IN PLAN BASED UPON FINANCIAL HARDSHIP PLANHOLDER INSTRUCTIONS WITHDRAWAL OR TRANSFER FROM A FEDERALLY REGULATED LOCKED-IN PLAN BASED UPON FINANCIAL HARDSHIP PLANHOLDER INSTRUCTIONS The attached forms must be completed if a planholder of a Federal Locked-in Registered

More information

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION The below-listed states have indicated that this certificate is acceptable as a resale/exemption certificate for sales and use tax,

More information

Power of Attorney Form

Power of Attorney Form Power of Attorney Form Account Holder Name(s): Application Reference #: Complete this form if you wish to authorize another person to have full power and authority over your Account(s) with TD Waterhouse

More information

SUBSCRIPTION AGREEMENT ($110 PER UNIT)

SUBSCRIPTION AGREEMENT ($110 PER UNIT) SUBSCRIPTION AGREEMENT ($110 PER UNIT) To: NationWide Self Storage Trust (the Trust ) Class A Preferred Trust Units (FundSERV Code: CDO NW001) Class F Preferrred Trust Units (FundSERV Code: CDO NW002)

More information

POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM

POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM (a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the principal, you give the person whom you choose (your agent ) authority

More information

USAA Power of Attorney

USAA Power of Attorney USAA Power of Attorney Important Information. Please Read. General. This USAA POWER OF ATTORNEY is intended to be used by you, to permit another person to conduct most transactions on personal USAA accounts

More information

PUBLIC STORAGE CANADIAN PROPERTIES INFORMATION TO ASSIST UNITHOLDERS WITH THEIR 2009 CANADIAN INCOME TAX RETURNS

PUBLIC STORAGE CANADIAN PROPERTIES INFORMATION TO ASSIST UNITHOLDERS WITH THEIR 2009 CANADIAN INCOME TAX RETURNS PUBLIC STORAGE CANADIAN PROPERTIES INFORMATION TO ASSIST UNITHOLDERS WITH THEIR 2009 CANADIAN INCOME TAX RETURNS Prior to utilizing the information contained in the tables attached, Unitholders are advised

More information

WASHINGTON STATE HOUSING FINANCE COMMISSION

WASHINGTON STATE HOUSING FINANCE COMMISSION WASHINGTON STATE HOUSING FINANCE COMMISSION BELLINGHAM DPA - HOMEBUYER RECAPTURE AGREEMENT This Agreement regarding homebuyer assistance, dated as of (the Agreement ), is made and entered into by and between

More information

PO Box 420 Alcoa, TN Date: Dealer Name: Date Organized: Type of Business: Ind. Corp. Partnership New Used Wholesale Request to: Buy Sell Both

PO Box 420 Alcoa, TN Date: Dealer Name: Date Organized: Type of Business: Ind. Corp. Partnership New Used Wholesale Request to: Buy Sell Both Thank you for your interest in doing business at Airport Auto Auction. Here is a registration package for your convenience which upon completion can be faxed back to us at 865-970-9603 or e-mail to krissybradford@airportautoauction.com.

More information

Investment Qualification Letter in Connection With Golden Queen Mining Co. Ltd. Rights Offering

Investment Qualification Letter in Connection With Golden Queen Mining Co. Ltd. Rights Offering Investment Qualification Letter in Connection With Golden Queen Mining Co. Ltd. Rights Offering Dear Shareholder: Golden Queen Mining Co. Ltd. (the Company ) filed a short form prospectus dated November

More information

TRADING AUTHORIZATION/POWER OF ATTORNEY AND INDEMNIFICATION FORM: DOMESTIC

TRADING AUTHORIZATION/POWER OF ATTORNEY AND INDEMNIFICATION FORM: DOMESTIC TRADING AUTHORIZATION/POWER OF ATTORNEY AND INDEMNIFICATION FORM: DOMESTIC This document constitutes a power of attorney, designed to give a designated person either (1) limited trading authorization or

More information

TO: ATTN: FAX: DATE: Credit Application. Thank you for your interest in obtaining an open account with Culverts, Inc.

TO: ATTN: FAX: DATE: Credit Application. Thank you for your interest in obtaining an open account with Culverts, Inc. TO: ATTN: FAX: DATE: RE: Credit Application Thank you for your interest in obtaining an open account with Culverts, Inc. Pages 2, 3, and 7 are MANDATORY as well as any other pages that pertain to your

More information

Attestation Packet Instructions and Reference

Attestation Packet Instructions and Reference Attestation Packet Instructions and Reference Steps to Complete the Attestation Packet 1. The Principal (you) will print out all pages of this Packet (6 pages total, including these instructions). 2. The

More information

ADDENDUM FOR LIFE INCOME FUND (LIF) BMO INVESTORLINE RETIREMENT INCOME FUND

ADDENDUM FOR LIFE INCOME FUND (LIF) BMO INVESTORLINE RETIREMENT INCOME FUND ADDENDUM FOR LIFE INCOME FUND (LIF) ADDENDUM LIF Pursuant to the Pension Benefits Standards Act (British Columbia) BMO INVESTORLINE RETIREMENT INCOME FUND Plan Carrier BMO Trust Company 52 nd Floor, 100

More information

Sun Life Assurance Company of Canada Tax-Free Savings Account Application Form - May Updated with CPA requirements

Sun Life Assurance Company of Canada Tax-Free Savings Account Application Form - May Updated with CPA requirements Sun Life Assurance Company of Canada Tax-Free Savings Account Application Form - May 2009 - Updated with CPA requirements Including SunWise Elite Plus SunWise Elite is an individual variable annuity contract

More information

6/8/2018. POWERS OF ATTORNEY A legal document giving someone authority to manage finances. Power of Attorney.

6/8/2018. POWERS OF ATTORNEY A legal document giving someone authority to manage finances. Power of Attorney. Power of Attorney. POWERS OF ATTORNEY A legal document giving someone authority to manage finances Only in existence while the Principal is alive Could be the most important document 1 2010 N.Y. Laws Ch.

More information

Cargo Rates International LLC, OTI# NF Tel/Fax th Avenue South, Seattle, WA 98144, USA

Cargo Rates International LLC, OTI# NF Tel/Fax th Avenue South, Seattle, WA 98144, USA Cargo Rates International LLC, OTI# 020585NF Tel/Fax.800.721.25403322 36 th Avenue South, Seattle, WA 98144, USA CUSTOMS POWER OF ATTORNEY/NVOCC and FORWARDING AGENT DESIGNATION/ Acknowledgement of Terms

More information

APPLICATION FOR APPROVAL AS TRADER

APPLICATION FOR APPROVAL AS TRADER TSX Venture Exchange (TSXVN) APPLICATION FOR APPROVAL AS TRADER Confirmation of Question 5 FOR INTERNAL USE ONLY Other Confirmation TradeTSXVN Exam Mark Trading Services approval by: Membership approval

More information

City of Fernley Business License Application City Clerk s Office 595 Silver Lace Blvd. Fernley, NV

City of Fernley Business License Application City Clerk s Office 595 Silver Lace Blvd. Fernley, NV City of Fernley Business License Application City Clerk s Office 595 Silver Lace Blvd. Fernley, NV 89408 775-784-9830 New License Update Existing Privileged Licensed Required Applicant Information Business

More information

DIVISION OF BANKING 1511 Pontiac Avenue, Building 68-1 Cranston, Rhode Island Telephone (401) Facsimile (401)

DIVISION OF BANKING 1511 Pontiac Avenue, Building 68-1 Cranston, Rhode Island Telephone (401) Facsimile (401) DIVISION OF BANKING 1511 Pontiac Avenue, Building 68-1 Cranston, Rhode Island 02920 TO: RE: Telephone (401) 462-9503 - Facsimile (401) 462-9532 LENDER, SMALL LOAN LENDER, LOAN BROKER AND THIRD PARTY LOAN

More information

INFORMATION CIRCULAR PERSONS MAKING THIS SOLICITATION OF PROXIES

INFORMATION CIRCULAR PERSONS MAKING THIS SOLICITATION OF PROXIES INFORMATION CIRCULAR (As of May 7, 2018 (the Record Date ) and in Canadian dollars except where indicated) PERSONS MAKING THIS SOLICITATION OF PROXIES This Information Circular ( Circular ) is furnished

More information

MEDICAID LOUISIANA PRE ENROLLMENT INSTRUCTIONS MCDLA

MEDICAID LOUISIANA PRE ENROLLMENT INSTRUCTIONS MCDLA MEDICAID LOUISIANA PRE ENROLLMENT INSTRUCTIONS MCDLA HOW LONG DOES PRE ENROLLMENT TAKE? Standard processing time is 3 weeks. WHERE SHOULD I SEND THE FORMS? Mail the form to: Unisys Provider Enrollment

More information

LIFE INSURANCE CLAIM

LIFE INSURANCE CLAIM LIFE INSURANCE CLAIM Life Insurance Claim - Instructions 1. For a Life Insurance Claim: The beneficiary (claimant) should complete the Beneficiary s (claimant s) Statement and submit the completed claim

More information

UBS Absolute Return Callable Units Series 12R (AUD) and Series 12R (USD)

UBS Absolute Return Callable Units Series 12R (AUD) and Series 12R (USD) IMPORTANT NOTICE UBS Absolute Return Callable Units Series 2R (AUD) and Series 2R (USD) Amendment to Call Dates dated 3 March 208 In relation to the UBS-ARC Units Series 2R(AUD) and Series 2R(USD) Term

More information

COMMONWEALTH OF VIRGINIA DEPARTMENT OF EDUCATION P. O. BOX 2120 RICHMOND, VIRGINIA

COMMONWEALTH OF VIRGINIA DEPARTMENT OF EDUCATION P. O. BOX 2120 RICHMOND, VIRGINIA COMMONWEALTH OF VIRGINIA DEPARTMENT OF EDUCATION P. O. BOX 2120 RICHMOND, VIRGINIA 23218-2120 VIRGINIA TEACHING SCHOLARSHIP LOAN PROGRAM PROMISSORY NOTE 2017-2018 MAKER S FULL NAME: SOCIAL SECURITY NUMBER:

More information

CUSTOMS POWER OF ATTORNEY/DESIGNATION AS EXPORT FORWARDING AGENT and Acknowledgement of Terms and Conditions

CUSTOMS POWER OF ATTORNEY/DESIGNATION AS EXPORT FORWARDING AGENT and Acknowledgement of Terms and Conditions , OTI# 020585NF Tel/Fax.800.721.2540 3322 36 th ave South, Seattle, WA 98144, USA CUSTOMS POWER OF ATTORNEY/DESIGNATION AS EXPORT FORWARDING AGENT and Acknowledgement of Terms and Conditions Appropriate

More information

AMAZON INTERDISCIPLINARY FIELD SCHOOL APPLICATION 2017

AMAZON INTERDISCIPLINARY FIELD SCHOOL APPLICATION 2017 AMAZON INTERDISCIPLINARY FIELD SCHOOL APPLICATION 2017 Program Dates * May 5 to 21 (tentative) Departure for Colombia: Return to Vancouver: Classes at Kwantlen: TBA May 5, 2017 May 21, 2017 Program fee:

More information

FORM OF CERTIFICATE FOR CORPORATE NAME CHANGE. Officer s Certificate

FORM OF CERTIFICATE FOR CORPORATE NAME CHANGE. Officer s Certificate FORM OF CERTIFICATE FOR CORPORATE NAME CHANGE Officer s Certificate Reference is hereby made to the Amended and Restated Certificate of Incorporation of Visa Inc., as in effect on the date hereof (the

More information

OVERVIEW. Current Rules

OVERVIEW. Current Rules 13.1.3 Request for Comments - Amendments to IDA Regulation 100.12 and Schedule 2 of Form 1 Regarding Margin Requirements for Securities Held In a Registered Trader s Account Investment Dealers Association

More information

FALLS CITY PUBLIC SCHOOLS BOARD POLICY CODE: 6120 SEPARATION INCENTIVE PROGRAM

FALLS CITY PUBLIC SCHOOLS BOARD POLICY CODE: 6120 SEPARATION INCENTIVE PROGRAM FALLS CITY PUBLIC SCHOOLS BOARD POLICY CODE: 6120 SEPARATION INCENTIVE PROGRAM The district provides this policy to benefit certificated employees who are considering terminating their employment with

More information

BANKING LAW OF THE TURKISH REPUBLIC OF NORTHERN CYPRUS. Law No :39/2001. Notification under articles (5), (6), (8), (10), and (42)

BANKING LAW OF THE TURKISH REPUBLIC OF NORTHERN CYPRUS. Law No :39/2001. Notification under articles (5), (6), (8), (10), and (42) O.G. 6 9..00 BANKING LAW OF THE TURKISH REPUBLIC OF NORTHERN CYPRUS Law No :9/00 Notification under articles (5), (6), (8), (0), and () The Central Bank of the Turkish Republic of Northern Cyprus, with

More information

Tenors Fly Away Experience Contest

Tenors Fly Away Experience Contest Tenors Fly Away Experience Contest WINNER S OFFICIAL CONTEST DECLARATION & RELEASE FORM Selected Entrant s Legal Name: Complete Address: Phone Number: Day: Evening: The undersigned acknowledges that he/she

More information

City of. Aventura. Government Center 'West Country Club Driv,e Aventura, Florida 33180

City of. Aventura. Government Center 'West Country Club Driv,e Aventura, Florida 33180 City of Aventura Government Center 19200 'West Country Club Driv,e Aventura, Florida 33180 APPLICANT REPRESENTATIVE AFFIDAVIT AND BUSINESS RELATIONSHIP AFFIDAVIT INFORMA TlON AND INSTRUCTION SHEET The

More information

Appendix D. BC Instrument Mortgages. Amending Instrument. 2 Section 3 is repealed and the following substituted:

Appendix D. BC Instrument Mortgages. Amending Instrument. 2 Section 3 is repealed and the following substituted: Appendix D BC Instrument 45-501 Amending Instrument The British Columbia Securities Commission orders that, effective September 28, 2009, Rule 45-501 (BC):, B.C. Reg. 189/2000, is amended as follows, 1

More information

How bankruptcy affects student loan debt

How bankruptcy affects student loan debt June 1, 2014 Bankruptcy and Student Loans This guidebook gives you information about getting repayment assistance for your student loans. It also tells you how to apply to the court for release of your

More information

issued by Sun Life Assurance Company of Canada

issued by Sun Life Assurance Company of Canada Sun Life Assurance Company of Canada Tax-Free Savings Account Application Form - January 2015 SunWise Essential Series 2 is an individual variable annuity contract issued by Sun Life Assurance Company

More information

Form F1 Report of Exempt Distribution

Form F1 Report of Exempt Distribution Form 45-106F1 Report of Exempt Distribution IT IS AN OFFENCE TO MAKE A MISREPRESENTATION IN THIS REPORT ITEM 1 - REPORT TYPE New report Amended report If amended, provide filing date of report that is

More information

SUBSCRIPTION AMENDING AGREEMENT 1

SUBSCRIPTION AMENDING AGREEMENT 1 SUBSCRIPTION AMENDING AGREEMENT 1 Made this day of, 20. BETWEEN: LAWYERS PROFESSIONAL INDEMNITY COMPANY, an Ontario corporation registered and licensed to carry on business in various Canadian jurisdictions

More information

Power of Attorney For Defined Contribution and Non-Qualified Plans

Power of Attorney For Defined Contribution and Non-Qualified Plans Power of Attorney For Defined Contribution and Non-Qualified Plans To grant another person (agent), information only, limited or full authority to act on your Defined Contribution and Non-Qualified plan

More information

end Power Authority Act, 1964", being chapter 7 of the Statutes of British Columbia, 1964, as amended, British

end Power Authority Act, 1964, being chapter 7 of the Statutes of British Columbia, 1964, as amended, British cortmoloin MI Men NCI Cf 114111511CCUABJ 3891 APPROVED AND ORD RED 29. 6.1973 Lieutenant-Governor EXI, UTIVE COUNCIL CHAMBERS, VICTORIA 21003 9. British Columbia Hydro and Pursuant to the Power Authority

More information

Full Representative Payee (Enrollment & 4 forms)

Full Representative Payee (Enrollment & 4 forms) P:(508) 794-9909 F:(888) 877-4420 689 Main Street Walpole, MA 02081 HelpMeBudget.org HelpMeBudgetStaff@Gmail.com Full Representative Payee (Enrollment & 4 forms) Checklist Complete our online enrollment

More information

Small Business Credit Card New Business Credit Card Account Relationship

Small Business Credit Card New Business Credit Card Account Relationship Small Business Credit Card New Business Credit Card Account Relationship New Account Opening Packet Contents 1. Mastercard BusinessCard Application (required for each applicant) 2. Certification & Directive

More information

PIERCE COUNTY COMMINITY DEVELOPMENT CORPORATION WASHINGTON STATE HOUSING FINANCE COMMISSION

PIERCE COUNTY COMMINITY DEVELOPMENT CORPORATION WASHINGTON STATE HOUSING FINANCE COMMISSION PIERCE COUNTY COMMINITY DEVELOPMENT CORPORATION WASHINGTON STATE HOUSING FINANCE COMMISSION Pierce County DPA - HOME WRITTEN AND RECAPTURE AGREEMENT This Agreement regarding a HOME subsidy(the Agreement

More information

Royal Group, Inc. or Royal Plastics Group USA Group Company name CREDIT APPLICATION

Royal Group, Inc. or Royal Plastics Group USA Group Company name CREDIT APPLICATION Royal Group, Inc. or Royal Plastics Group USA Group Company name CREDIT APPLICATION Tel:( 905) 652 2780 Fax:( 905) 652 8003 New Application For which Royal Group Company Credit Update Please select the

More information

SPCA TAMPA BAY POOLED PET TRUST TRUST JOINDER AGREEMENT

SPCA TAMPA BAY POOLED PET TRUST TRUST JOINDER AGREEMENT Trust sub-account number: Acceptance Date: SPCA TAMPA BAY POOLED PET TRUST TRUST JOINDER AGREEMENT This is a legal document. You are encouraged to seek independent, professional advice before signing this

More information

THIS POLICY CONTAINS CLAUSES WHICH MAY LIMIT THE AMOUNT PAYABLE

THIS POLICY CONTAINS CLAUSES WHICH MAY LIMIT THE AMOUNT PAYABLE THIS COMMERCIAL INSURANCE POLICY CONSISTS OF THIS (THESE) DECLARATIONS PAGE(S) ALONG WITH THE "STATUTORY CONDITIONS" (OR "GENERAL CONDITIONS"). AS WELL AS ALL COVERAGE WORDINGS, RIDERS OR ENDORSEMENTS

More information

TITLE CLOSER AFFIDAVIT TRUST

TITLE CLOSER AFFIDAVIT TRUST TITLE CLOSER AFFIDAVIT TRUST AFFIDAVIT OF TRUST AND INDEMNITY STATE OF NEW YORK ) TITLE NO.: County of ) I/We hereby certify to TitleSave Agency, Inc (the Title Agency ) and Chicago Tile Insurance Company

More information

Application for Release/Reduction of Code Enforcement Lien(s)

Application for Release/Reduction of Code Enforcement Lien(s) Application for Release/Reduction of Code Enforcement Lien(s) All information fields must be completed before this application can be processed. Requests are not scheduled for the Lien Release Agenda until

More information

4. Individual Qualified Supervisor license applications must be accompanied by full fees.

4. Individual Qualified Supervisor license applications must be accompanied by full fees. CONTRACTOR LICENSING BOARD Submission Requirements for Class F-1 Contractor Licenses: (Tested) CONTRACTOR LICENSE APPLICATIONS-Deadline for submission is the last working day of the month prior to the

More information

TABLE OF CONTENTS. 1.1 Welcome to the Guide 1.2 Who is Required to Hold an Insurance Agent s Licence?

TABLE OF CONTENTS. 1.1 Welcome to the Guide 1.2 Who is Required to Hold an Insurance Agent s Licence? TABLE OF CONTENTS 1. INTRODUCTION 1.1 Welcome to the Guide 1.2 Who is Required to Hold an Insurance Agent s Licence? 2. OBTAINING A LEVEL I LICENCE 2.1 Sponsorship 2.2 Duties of Sponsor 2.3 Application

More information

Instructions for Completing the Customs Power of Attorney

Instructions for Completing the Customs Power of Attorney Instructions for Completing the Customs Power of Attorney 1. Check the box that describes the status of your business. Foreign Company - Check the "Corporation" box. 2. Enter your Federal Tax ID number

More information

Powers of Attorney. This booklet contains forms for Continuing Power of Attorney for Property and Power of Attorney for Personal Care

Powers of Attorney. This booklet contains forms for Continuing Power of Attorney for Property and Power of Attorney for Personal Care Powers of Attorney This booklet contains forms for Continuing Power of Attorney for Property and Power of Attorney for Personal Care Ministry of the Attorney General Ce document, intitulé Les procurations,

More information

Retail Collateral Mortgage

Retail Collateral Mortgage Page 1 Retail Collateral Mortgage Form 15.1 Land Titles Act, S.N.B. 1981, c.l-1.1, s.25 Standard Forms of Conveyances Act, S.N.B. 1980, c.s-12.2, s.2 Parcel Identifier: Mortgagor: PID name address AND

More information

Resolution No. A resolution authorizing the termination of the Tax Abatement Agreements with National Semiconductor Corporation

Resolution No. A resolution authorizing the termination of the Tax Abatement Agreements with National Semiconductor Corporation Resolution No. A resolution authorizing the termination of the Tax Abatement Agreements with National Semiconductor Corporation WHEREAS, on April 10, 2001, pursuant to City Council Resolution No. 01-233,

More information

4. Individual Qualified Supervisor license applications must be accompanied by full fees.

4. Individual Qualified Supervisor license applications must be accompanied by full fees. CONTRACTOR LICENSING BOARD STEPHEN, MARK ARCHER, BRENT GROESBECK, AND PAUL Submission Requirements For Class A Contractor Licenses: (Tested) CONTRACTOR LICENSE APPLICATIONS-Deadline for submission is the

More information

Application for Conversion Non-Underwritten

Application for Conversion Non-Underwritten Application for Conversion Non-Underwritten This form is for use with simple conversions that do not require evidence of insurability. To add benefits or riders (except where your existing contract allows

More information

NOTES ON BANKRUPTCY APPLICATIONS IN THE LAND REGISTRY

NOTES ON BANKRUPTCY APPLICATIONS IN THE LAND REGISTRY NOTES ON BANKRUPTCY APPLICATIONS IN THE LAND REGISTRY Not so long ago, bankruptcy matters were dealt with by a small number of firms, who had acquired considerable experience in this area of law. However,

More information

PURSUANT TO THE MORTGAGE BROKERS ACT. Mortgage Broker Address City Province Postal Code Phone Fax Name of Designated Individual

PURSUANT TO THE MORTGAGE BROKERS ACT. Mortgage Broker Address City Province Postal Code Phone Fax  Name of Designated Individual Page 1 of 5 FORM 13 - for Fiscal Year End ENGAGEMENT LETTER Between Accountant and Client Registrar of Mortgage Brokers 2800-555 West Hastings Vancouver, BC V6B 4N6 Ph. 604-660-3555 / Toll-free: 1-866-206-3030

More information

IN THE MATTER OF THE MORTGAGE BROKERS ACT R.S.B.C.1996,c.313 AND. EMERALD CAPITAL CORPORATION and PETER MILLER CONSENT ORDER, ADMISSIONS AND WAIVER

IN THE MATTER OF THE MORTGAGE BROKERS ACT R.S.B.C.1996,c.313 AND. EMERALD CAPITAL CORPORATION and PETER MILLER CONSENT ORDER, ADMISSIONS AND WAIVER COLUMBIA BRlTISH IN THE MATTER OF THE MORTGAGE BROKERS ACT R.S.B.C.1996,c.313 AND EMERALD CAPITAL CORPORATION and PETER MILLER CONSENT ORDER, ADMISSIONS AND WAIVER The following agreement has been reached

More information

AMENDED FEDERAL PENSION REGULATIONS

AMENDED FEDERAL PENSION REGULATIONS 20 March 2015 AMENDED FEDERAL PENSION REGULATIONS Final amendments to the regulations (Regulations) under the federal Pension Benefits Standards Act, 1985 (PBSA) are to be published in the Canada Gazette

More information

CAPITAL CREDIT ACCOUNT REFUND PACKET AGE

CAPITAL CREDIT ACCOUNT REFUND PACKET AGE CAPITAL CREDIT ACCOUNT REFUND PACKET AGE Copy of Driver s License or Birth Certificate.Page 2 Agreement to Terms and Conditions for Payment Of Capital Credits Prior to the Time Such Capital Would Otherwise

More information

Summary of SEC Regulation S Dorsey & Whitney LLP

Summary of SEC Regulation S Dorsey & Whitney LLP Summary of SEC Regulation S Dorsey & Whitney LLP Regulation S under the Securities Act of 1933, as amended (the Securities Act ) is a safe harbour rule that defines when an offering of securities would

More information

RICHMOND PROPERTY GROUP. Legal Disclaimer

RICHMOND PROPERTY GROUP. Legal Disclaimer RICHMOND PROPERTY GROUP Legal Disclaimer Richmond Property Group, Ltd. provides companies and individuals with general business advice. Richmond Property Group, Ltd. itself is not an accounting or law

More information

2007 Property Assessment and Tax Analysis of 2006 Data. Prepared for Real Property Association of Canada. November 23, 2007

2007 Property Assessment and Tax Analysis of 2006 Data. Prepared for Real Property Association of Canada. November 23, 2007 2007 Property Assessment and Tax Analysis of 2006 Data Prepared for Real Property Association of Canada November 23, 2007 Prepared by: ALTUS DERBYSHIRE A division of Altus Group Limited 191 The West Mall,

More information

Your contact phone number ( ) -.

Your contact phone number ( ) -. Dear Member: The enclosed Annuity Loan application must be completed and submitted with the appropriate 1% application fee so that you may pick up your Annuity Loan check. Please use the following check

More information

Pension death benefits discretionary trust.

Pension death benefits discretionary trust. PersonaL Pension/staKehoLder/siPP/buy out PLan Pension death benefits discretionary trust. IMPORTANT NOTES before completing the Discretionary Trust, please read the following notes. 1. This documentation

More information

Election Form for Retirement Benefit Cashout

Election Form for Retirement Benefit Cashout Election Form for Retirement Benefit Cashout All Elections Are Final (Not Revocable) SECTION 1 - PARTICIPANT INFORMATION of Termination Daytime Phone (Area Code/Number) of Birth (mm/dd/yyyy) I certify

More information

ADDITIONAL INSTRUCTIONS FOR A FCSTONE, LLC ACCOUNT MANAGED BY A THIRD PARTY

ADDITIONAL INSTRUCTIONS FOR A FCSTONE, LLC ACCOUNT MANAGED BY A THIRD PARTY ADDITIONAL INSTRUCTIONS FOR A FCSTONE, LLC ACCOUNT MANAGED BY A THIRD PARTY 1. If you are opening an FCStone, LLC account to be directed or managed by a third party; whether or not they are registered

More information

SAFE HARBOR TITLE AGENCY, LTD.

SAFE HARBOR TITLE AGENCY, LTD. SAFE HARBOR TITLE AGENCY, LTD. POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM (a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the principal, you give the person whom

More information

Application and Contract

Application and Contract Annuity January 2012 Application and Contract Information about this Contract The attached Application and Annuity Contract are intended to provide you with an income that best meets your needs. This Contract

More information

STATE BUSINESS TRANSACTION DISCLOSURE REPORT FORM AND INSTRUCTIONS

STATE BUSINESS TRANSACTION DISCLOSURE REPORT FORM AND INSTRUCTIONS STATE BUSINESS TRANSACTION DISCLOSURE REPORT FORM AND INSTRUCTIONS I. General Information Section 45-10-26 of the Official Code of Georgia Annotated requires that all public officials and employees disclose

More information